| Mindworks Therapy Services | |
|
110 Plaza Cir Ste B Waterloo IA 50701-5139 | |
| (319) 830-1410 | |
| Not Available |
| Full Name | Mindworks Therapy Services |
|---|---|
| Speciality | Social Worker |
| Location | 110 Plaza Cir Ste B, Waterloo, Iowa |
| Authorized Official Name and Position | Mackenzie Flot (LISW) |
| Authorized Official Contact | 3198301410 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindworks Therapy Services 3301 Cedar Heights Dr Cedar Falls IA 50613-6041 Ph: (319) 519-1335 | Mindworks Therapy Services 110 Plaza Cir Ste B Waterloo IA 50701-5139 Ph: (319) 830-1410 |
| NPI Number | 1619535507 |
|---|---|
| Provider Enumeration Date | 06/05/2019 |
| Last Update Date | 08/23/2023 |
| Certification Date | 08/23/2023 |
| Medicare PECOS PAC ID | 7618203522 |
|---|---|
| Medicare Enrollment ID | O20190731000468 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619535507 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Mackenzie Flot |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497035596 PECOS PAC ID: 4183845522 Enrollment ID: I20141028000943 |
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